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   Effect of Fibrin Packing on Managing Hepatic Hemorrhage and Liver Wound Healing in a Model of Liver Stab Wound in Rat  
   
نویسنده banihashemi mehrzad ,safari azam ,nezafat navid ,tahamtan mahmoodreza ,negahdaripour manica ,azarpira negar ,ghasemi younes
منبع bulletin of emergency and trauma - 2017 - دوره : 5 - شماره : 1 - صفحه:18 -23
چکیده    Objective: to evaluate the effect of fibrin perihepatic packing on controlling liver hemorrhage and liver wound healing. methods: in this animal experimental study, 20 adult male sprague dawley rats, weighing 200-220 g, were included. stab wound injury was created by number 15 scalpel, so that bilateral liver capsules and liver tissue were cut, and acute bleeding was accrued. the animals were divided into 2 study groups: control (with a primary gauze packing treatment) and test group (with fibrin packing treatment). serum alanine aminotransferase (alt), aspartate aminotransferase (ast), and total serum bilirubin (tsb) levels were measured as a liver function test during the treatment period. blood loss was calculated for estimation of hepatic hemorrhage during surgery. after four weeks, the liver wound repair was evaluated by sampling and hematoxylin and eosin staining (h&e). results: in the test group, all of animals were alive (mortality rate=0%). significantly, alt and ast levels were raised after surgery, followed by a decrease alt (p=0.783) and ast (p=0.947) to the normal level during 4 days. estimated blood loss was 2.89 ± 0.73 ml (about 19.65% of estimated blood volume). hematocrit levels returned to the normal level (p=0.109) after 48 hours. in the control group, the mortality rate was 50% during 12h after surgery. alt (p=0.773) and ast (p=0.853) were decreased to normal level during 6 days, and estimated blood loss was 4.98±0.77 ml (about 32.98% of estimated blood volume) in the remaining animals. moreover, hematocrit levels returned to the normal level (p=0.432) after 72 hours. estimated blood loss in the test group was significantly less than control group (p<0.001). total serum bilirubin levels were not significantly different from the normal level, before and after surgery in both groups. histopathology sections from the post-hepatectomy specimens showed that the site of the previous incision was completely repaired, and a dense fibrous septum was observed in both groups. conclusion: the fibrin dressing was effective in preventing blood loss and saving lives after a liver stab injury and major internal bleeding in the animal model of rat.
کلیدواژه Fibrin packing; Liver; Trauma; Hemorrhage; Wound healing; Penetrating injury
آدرس shiraz university of medical sciences, pharmaceutical sciences research center, Iran, shiraz university of medical sciences, pharmaceutical sciences research center, Iran, shiraz university of medical sciences, pharmaceutical sciences research center, Iran, saadati pathobiology laboratory, department of pathobiology, Iran, shiraz university of medical sciences, pharmaceutical sciences research center, school of pharmacy, department of pharmaceutical biotechnology, iran, shiraz university of medical sciences, transplant research center, department of pathology, iran, shiraz university of medical sciences, pharmaceutical sciences research center, school of pharmacy, department of pharmaceutical biotechnology, iran
 
     
   
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